Definition of Serious Injury
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Transcript Definition of Serious Injury
Dia Gainor, NASEMSO
National
EMS System Information
System (NEMSIS) Version 3.0
Compliant Out-of-Hospital
Records
Emergency Department
Discharge Databases
Hospital Discharge Databases
Trauma Registries
Physiological
scoring systems
Glasgow
coma scale
Trauma score
Revised trauma score
TRISS methodology
Anatomical
scoring systems
Abbreviated
injury score
Injury severity score
ICD-9 Injury Severity Score
Calibrated
by the Association for the
Advancement of Automotive
Medicine
First developed in 1969
Anatomically based
Consensus derived
Updated every five years
Has been adopted by numerous
other countries
1
2
3
4
5
6
=
=
=
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=
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Minor
Moderate
Serious
Severe
Critical
Maximum (Untreatable)
Head/neck
Face
Chest
Abdomen
Extremity
External
(skin)
ONLY
highest AIS number in
each body area is used
3 most severely injured body
region scores squared
3 squared scores added
together
= Injury Severity Score
If
injury is assigned a 6
(unsurvivable), ISS
automatically = 75
Score Reflective of Injury Severity
1 - 9 Minor
10 - 15 Moderate
16 - 24 Moderate/Severe
≥ 25 Severe/Critical
Many
different injury patterns yield
same ISS score
Errors of AIS scoring = errors of ISS
Injuries to different body regions are
not weighted
Limits the number of contributing
injuries to 3
Can’t account for multiple injuries
to the same body region
Anatomical
scoring system for
patients with multiple injuries
ISS score correlates with
mortality, morbidity & hospital
stay
Bivariate correlation of mortality
% with ISS and age
Dia Gainor, NASEMSO Executive Director
[email protected]
208-861-4841